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Home My WebLink About1807 W 4 StI Building & Fire Prevention Division PERMIT APP/LICAL TIION Application No: / k / ` /q Documented Construction Value: $ it L w, Job Address: 13D- �V� 4T " S 1 ,% 13 t I Historic District: Yes❑No� Parcel LD: 10-jq ' w'5M- o= -02J Residential Commercial Type of Work: New] Addition AlterationKRepaira Demo❑ Change of Use❑ Move❑ . 1 Description of Work: Plan Review Contact �P11YW OV erssoonn: e Phon&-VFax• Property Owner Information v Name /�-� t ' J ( /y��..�L/�� Phone: �1 Street: LET V�Y • l ,l LNIA" DIP- Resident of property? : v City, State Zip:-ftr4m (� Contractor Information (Lrn Q� j Name C Phone: I , ! t =W�1 � OCR) Street. l>► Fax: 4c-_T -1 1 City, State Zip: uiftDU � State License No.: CC0_5_XAS1 Architect/Engineer Information Name: Phone: Street: Fax: - City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners; etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6t1 Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ucti n and zoning. ski e 31(vfig/ Signature of O A nt Dal Si of Co tractor/Agent D e Josew s Owner/Agent's Name Pint onttactor/Agent's Na (r )c;SICk NlCOtf GRRF ► / /�,\< tJet r f blic - r ;eo iorida `l ttYf f V 1 o �; tdotaryPubb Sfa+ o! to da . l 1 - Comm to CGOa&�10 f; orrm es 9�r23,202i *I Commissio�nGGOB$5'0 ¢C r� �U My Comm, E�, s Mar 29 2021 „ „ and YI rr u�i ne;nf 1 h t.ryAs;n. '�,::;.`.!'�` licmdcd thrr,,ugh �;a!�r;lfiu zry Assn. Owner gent is Personally Kn t e or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ . Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: January 1, 2018 Permit Application 3/19/2018 SCRA Parcel View: 26-19-30-507-0000-0200 1 i &bMw' M j Property Record Card Parcel: 26-19-30-507-0000-0200 scvuocecxxAvrv,�cx, j Property Address: 1807 Y! 4TH ST SANFORD, FL 32771-1702 j - -- I Parcel Information Value Summary j Parcel ( 26-19-30-507-0000-0200 II — Owner. TRSTE LLC TRUSTEE FBO ' Property Address 1807 W 4TH ST SANFORD, FL 32771-1702 I Mailing 1924 W COLONIAL DR ORLANDO, FL 32804- Subdivision Name I ST JOHNS VILLAGE 2ND REVISION ^_ Tax District + S1-SANFORD I'a DOR Use Code , 01-SINGLE FAMILY 1 —� Exemptions 2018 Working 12017 Certified j Values I Valuees-------�I Valuation Method Cost/Market Cost/Market I Number of Buildings , 1 1 Depreciated Bldg Value $46,300 141,184 Depreciated EXFT Value $600 $600 .......................... .... ...... ___.. Land Value (Market) $9 000 ; $9 000 Land Value Ag JusUMarket Value" $55,900 i $52,784 Portability Adj Save Our Homes Adj $0 $72 Amendment 1 Adj $0 i $0 _.._.... .._..... ....._.______-__._.__ P&G Adj $0 $0 ....... _... .-__,. _ Assessed Value $55,900 1 $52,712 Tax Amount without SOH: $494.00 1 2017 Tax Bill Amount $493.00 i Tax Estimator j Save Our Homes Savings: $1.00 Does NOT INCLUDE Non Ad Valorem Assessments _—.--------.._.._........... _-_.._.__� __---_--..__..._.----- — --- .—_ . __. ___.__ .__.. -- Ial Description 20 OHNS VILLAGE 2ND ISION 0PG71 !s Sales Land-- 3/19/2018 Detail by Entity Name DWISION OP COO ORAT16N5 Department of State / 2 ivi i nDLC-QrS24ia- Ltqns I Search Recorda / Detail By Qocument Number / Florida Limited Liability Company TRSTE, LLC Fiiing Information Document Number L04000054668 FEI/EIN Number 20-2443217 Date Filed 07/23/2004 State FL Status ACTIVE Principal Address 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 Changed: 04111 /2008 Mailing Address 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 Changed: 04/11 /2008 Registered Agent Name & Address SEAGLE,JOSEPH E 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 Address Changed: 04/11/2008 Authorized Person(s)Detail Name & Address Title MGR SEAGLE,JOSEPH E 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 Title MGR �RICHARDSON, PHILIP W 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquiryWe=EntityNa me&directionType=l nitial&searchNameOrder-TRSTE%20. 112 3119/2018 Detail by Entity Name Title Authorized Representative Freeman, Lod E 924 WEST COLONIAL DRIVE ORLANDO, FL 32804 Annual Reports Report Year Filed Date 2015 03/01/2015 2016 03/03/2016 2017 01/0312017 Document Images 01YO312017 — ANNUAL REPORT View image in PDF format 03103/2016 -- A.+;NUAL REPORT View image in PDF format 03f01120115 — ANNUAL REPORT View image in PDF format 04119/2014 —ANNUAL REPORT View image in PDF formal, 0311712013 — ANNUAL REPORT View image in PDF format 0110312012 --ANNUAL REPORT Mew image in PDF format 041Q8/2011 —ANNUAL REPORT View image in PDF formal 0 113012010 ANNUAL REPORT View image in PDF format 04/14/2002 ANNUAL REPORT View image in PDF format 040 112008 — ANNUAL REPORT View image in PDF format 0110512007 — ANNUAL REPORT Mew image In PDF format- 02/07/2006 — ANNUAL REPORT View image in PDF format 0412812005 — ANNUAL REPORT View image in PDF format 07123/2004 -- Florida LirgLit Lipb4lity, View image in PDF format 1, " x http://search.sunbiz.org/inquiry/CorporationSearch/SearchResultDetail?iriquirytypb=EntityName&direcfionType=lnitial&searchNameOrder--TRSTE%20... 2/2 Robert Rodriguez 1,807 W. 4111 St Date: 1/29/18 Sanford, F1 32808 Email: thegpodrobbjrod@yahoo.com Phone: (407)716-5365 Prepared by: Trevor Bid Price Includes: SHINGLE ROOF — Provide proper permitting and insurance. — Remove existing shingles and install new asphaittshingles, — Inspect and nail off roof Q9 to current deck1ji t t county and'state standards. — Color to'be, chosen by ownerA'AlAdbiffiStyle: CI K]AINTEED — Drip Edge: Install'N6w 2,5 ",Galvanized Pre-painied< WN ACK or WHITE — Replace tar paper with new Certainteed',Roof Annner Sytithetic,Und6rlaymeni. — Replace all lead boots and vents with new. — Install Peel & Stick Underlayment" directAo-deck in the valleys,I & rises valley metal per manufacturer. Replace bad wob& $65.00,per sheetof plywood, $ 1 71 1 00 per linealfootAir IX andU material. Any "L" or Counter Flashing that is replaced, will be billed at $ . TOO per 1ifteal fo 4t for each. All worktmanship is guaranteed for TWO (2 ').years, from final payment. — Price"is;for removal of one layer of shingles and 2 layers of felt paper. Job site to be cleaned daily. ; — Gold Key Roofing reserves the right to "inspect the roof beforesigning. contracts. TAMKO ELITE 3-TAB SHINGLES (25 YEAR LIMITED WARRANTY RATED' 60 MPH Total Investinent: $6,000,00 int. Upgrade.to:. CERTAINTEED LANDMARK ARC SH-INGLES (LIMITED LIFETIME WARRANTY T 0 E 0, II}Total, Investment: S7,260.00 OPTIONS Option 1: 5-year extended warranty (Seven' Years Total) ADD $500.00 int Option 2: Install Blown -in Insulation — Livin area only ADD $1350.00 int Option 3- Install Rodent Proof Boot ,Covers . ADD $220.00 int Option 4.- Install Peel-N-St.ick Uoderlaym,ent ONruplete Roof ADD $445.00 int vvww Oi-,DK -YROOFING1. 111 fill Ill THIS [MST U ENT PREPA ED BY Name: "'G� Gt "'t t�fir FIT €1r;€_0'f SEMINOLE COMITY Address:`i�"7 E tLE.fti. OF t:1RGUIT COURT c: COMPTROLLER State of FloriCLERKS T 20181.129406 RECORDED 01119'/213:18 09:13:00 AN RECORDING FEES $10.00 RECORDED BY I-idevDre NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 021 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. SCRIP 1 NPROPER Legal description he pro a and tre address if available) _ C� GENERAL DESCRIPTION OF IMPROVEMENT OWNER INFORMATION _____�� 1�nd�address- CONTRACTOR Naine-and address: 61-0 K�•1 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(i)(b), Florida Statutes. Name and address: Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER -OR AN ATTORNEY BEFORE. COMMENCING WORK OR VCORDING YOUR NOTICE OF COMMENCEMENT.- r LFF COUNTY OF-KEMttrtO"LS-- Ose h E. S OWNERS SIG RE OWNERS PRINTED NAME {NOTE: Per Florida Statute 713.13(i) (g), owner must sign...... and no one else may be permitted to sign in his or her stead." The foregoing instrument was acknowledged before me this day of -A i�fik.- 20 byWho is personally known to me /� Name of person mating statement OR who has produced identification type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. DER PENA_LLT�I�� R RY t 6 ARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ET O THE BEST O LEDGE AND BELIEF. �f t� ep E F NAT PERSON SIGNING ABOVE SSIS r MARILYN L. BROWN NOTAkYPUBLICaSTATE OF FLORIDAComm# FF148906 Y%tarySignatfie wE 1Expires 8/16/2018 :D :a n. W POWER OF ATTORNEY Date: do herby authorize L�4 l V (, 044f�/ Q0 + pull the r permit foryv 4 Type of perm it job addms Signature n s n Notary Personally known to me or Wd'e Co. S to f Iori Coun on day of 2000� r, 7ESSIICAMCOLEcaRAF N,;'arvPubli - State c 'lcrida Commis,-,4CG fl Si0 My CormCormu. Expiris Mar 29, 2Q2? � ..., �<r,;•.ait�. tr P;:il7nlh ta,}, hssn. CITY OF FIRE DEPARTMEN Building & Fire Prevention Division PERMIT NO. /X Q* ® XISSUE DATE:0 3• foo CONTRACTOR: %,J0^7 JOB ADDRESS: /0 V TYPE OF WORK: PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items requested during the message • The type of inspection requested must be scheduled under the appropriate permit type • Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code 111 Inspection Policy & Procedures A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: • Permit Card, posted in a conspicuous and weatherproof location • Completed Residential Re -Roof Scope of Work • Completed and Notarized Inspection Affidavit • All Florida Product Approval and Corresponding Installation Instructions • (Product Approval shall match what is on the scope of work) • Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails • Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 CITY OF Building & Fire Prevention Division ..NANFORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. "PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE 10B SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION • COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK • COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) O SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS • SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: �� CITY OF Sk�40RD PERMIT # Building & Fire Prevention Division Ftit DEPARTMENTBuilding RE-ROOF SCOPE OF WORK 27 JOB ADDRESS: STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: KREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (-NEW ROOF INSTALLED OVER EXISTNNG ROOF) DECK TYPE (PLEASE SPECIFY):'PL ( V\�w **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED* ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWER.ED VENT OTURBINFS SKYLIGHTS: O YES )010 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 IK2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE F O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 a 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FLY O OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 8,55.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . Property Address . . . . . . Parcel Number Application description . . . Subdivision Name . . . . . . Property Zoning . . . . . . . 18-00001448 1807 W 4TH ST 26.19.30.507-0000-0200 ROOFING APPLICATION ST. JOHNS VILLAGE MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Date 3/21/18 Additional desc . . Phone Access Code 1039189 Permit pin number 1039189 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / CITY 4F Building & Fire Prevention Division FORD RESIDENTIAL RE ROOFAFFIDAVIT fIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT ##: I&_jq4_5 ADDRESS: I 'uV� N vT FL, 3771-11 AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: DATE: I� (MUST BE SIGNED BY LICENWLWIN,ER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE —ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. "FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF Sworn to and Subscribed before me this day of M h4 20by: JEEH?o vrV�11 . Who is personally Known to me or has ❑ Produced (type of entification' Q� as c� gnature of Notary Pu tate of Florida Print/Type/Stamp Name of Notary Public identification. JESSI,CAN�ICOsEGRAF e°=. Notar Public -State of Florida 'r, Commission k GG 088510 ••�tar�,G�?a My Comm. Expires Mar 29, 2021 Bonded through National NmaryAssn.